Study of neonatal outcome in multiple gestation

Arora, Garima; Bagga, Gourav; Arora, Girish C.

doi:10.18203/2320-1770.ijrcog20163883

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…Chaudhary et al reported cessarian section rate of 67.4%, Mehta CV et al (2020) 63.3%, Arora et al 20.32%, Bangal et al 33%. 11,20,25,12 The increase in the use of cesarean section to deliver twin pregnancies may be due to increased incidence of other obstetric indications for cesarean deliveries such as hypertensive disorders, malpresentation, cord prolapse, and premature rupture of membranes, fetal distress, precious pregnancy conceived after infertility as observed in this study.…”

Section: Resultsmentioning

confidence: 65%

Study of maternal and perinatal outcome in twin pregnancy at a tertiary care hospital

Patidar,

Ahari,

Damor

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Twin pregnancy refers to the presence of two fetuses in the uterus. The phenomenon of twinning has fascinated mankind throughout its recorded history. The major problems occurring in twin pregnancy are prematurity, Lbw, IUGR, birth trauma, birth asphyxia and congenital anomalies. The most serious risk is preterm delivery, which accounts for most of the increased perinatal mortality, neonatal morbidity, and long-term morbidity of twins. Methods: This prospective observational study included analysis of 250 women with twin pregnancies, over a period from 01st November 2021 to 31st October 2022 with 28 completed weeks of gestation, admitted at PDMC, Udaipur, Rajasthan. Results: In our study 250 twin pregnancies delivered Out of total 15209 deliveries were studied in our institute. incidence of twin pregnancy was 1.64%. The majority of study participants were in the age group 20 to 29 year and delivered between the gestation age 34-37week, multigravida was 51.2% and in primi it was 48.8%. The 4% patients underwent caesarean section and 48% delivered by vaginal delivery. Conclusions: Twin pregnancy is a great challenge to the concerned obstetricians. Complications associated with twin pregnancies cannot be prevented but can be detected early and controlled adequately by proper and prompt management. Timely diagnosis and treatment of nutritional anaemia and pre-eclampsia helps in preventing additional complications. Hence the need for better obstetric care, neonatal care, health services to get a better fruitful outcome.

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Section: Resultsmentioning

confidence: 65%

Study of maternal and perinatal outcome in twin pregnancy at a tertiary care hospital

Patidar,

Ahari,

Damor

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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A Retrospective Study of Maternal and Fetal Outcomes of Twin Pregnancy

Pant

Patil

2022

Biomed. Pharmacol. J.

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Objective: This study was aimed to study the prevalence of twin pregnancy in a tertiary care hospital in Karad and to evaluate the various factors that influence maternal, fetal, and neonatal outcomes of twin gestation. Methods: This retrospective study was conducted at a tertiary care hospital in Karad, Maharashtra, for a period of two years. All women admitted with twin pregnancy (>28 weeks gestation) were considered for study. Maternal data including age, gestational age, parity, mode of conception, maternal interventions, mode of delivery, fetal death, intrauterine fetal growth restriction (IUGR), twin to twin transfusion, neonatal intensive care unit (NICU) admissions, birth asphyxia, low birth weight (LBW) and respiratory distress were recorded and analyzed Results: Incidence rate of twin pregnancy was 1.9%. Most women (56.48%) were aged 21-30 years and have completed 34-36 weeks of gestation (48.15%) with average gestational age of 34.97±2.35 weeks. Malpresentations (37.96%) followed by preterm labour (35.1%) was most common maternal complication. Cesarean section (62.04%) was most frequent mode of delivery. Most neonates had LBW (92.34%) and required NICU admissions (19.6%). Total rate of neonatal mortality is 3.34%. Birth asphyxia (42.85%) was the most frequent cause of neonatal mortality. Conclusion: Twin gestation necessitates special attention as there is increased risk of maternal and perinatal morbidity and mortality. Early detection and anticipation of complications of twin gestation can greatly improve the maternal and fetal outcomes.

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Neonatal Outcome of Twins and Singleton Neonates

Meshram

James

2022

Journal of Clinical Neonatology

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Introduction: It is impossible to achieve the target of Sustainable Developmental Goal without focusing on care of twins' neonates as they are more prone for death and higher chance of long-term morbidity and neurodevelopmental handicap in survivors. Aim: To estimate the outcome among twin and singleton neonates at a tertiary care teaching center of Eastern Maharashtra. Materials and Methods: Prospective observational study was conducted on neonatal intensive care unit graduates of twin birth and simultaneously admitted singletons at Government Medical College and Hospital Nagpur from June 2020 to February 2021 (9 months). Outcome among twin and singleton neonates, and their morbidity and mortality pattern were studied. Results: A total of 210 neonates of twin birth and 870 singleton neonates were recruited. Male were dominant in both groups. Preterm and low birth weight neonates were significantly more in twins compared to singleton neonates. Twin neonates were significantly more hypothermic (P < 0.001) and hypoxic (P = 0.001) compared to singleton. Jaundice (37.62%) and respiratory distress syndrome (36.67%) were the most common diagnosis in twin neonates while sepsis (34.71%) was predominant in singleton. Sepsis (33.9%) was the most common cause of death in singleton neonates while respiratory distress syndrome (35.38%) in twin births. Length of hospital stay (P < 0.0001) and neonatal mortality were significantly higher in twin neonates compared to singleton neonates (P = 0.001). Conclusion: Sepsis is the leading cause of admission and death in singleton neonates while respiratory distress syndrome in twins. Twin neonates have significantly higher mortality and longer hospital stay because of prematurity and low birth weight.

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Study of neonatal outcome in multiple gestation

Cited by 4 publications

References 4 publications

Study of maternal and perinatal outcome in twin pregnancy at a tertiary care hospital

Study of maternal and perinatal outcome in twin pregnancy at a tertiary care hospital

A Retrospective Study of Maternal and Fetal Outcomes of Twin Pregnancy

Neonatal Outcome of Twins and Singleton Neonates

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